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CITY OF ORONO * 2 0 1 2 - 0 1 1 6 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 2575 THOROUGHBRED LA <br /> PIN 04-117-23-11-0021 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 004 BLOCK 002 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 3,000.00 <br /> NOTE: <br /> GAS FIREPLACE-BUILIDNG PORTION ONLY. GAS BEING DONE BY OTHER CONTRACTOR. <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> LONDON POINT REMODELERS STATE SURCHARGE(VALUATION) 1.50 <br /> 8661 JEFFERSON HWY <br /> MAPLE GROVE,MN 55311- TOTAL 90.00 <br /> (763)390-7618 PAID WITH CC# 4240 <br /> Minnesota State License#:20626558 <br /> OWNER <br /> SAPLETAL,STEVEN&STACY <br /> 2575 THOROUGHBRED LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a ime a cause. <br /> 11 / 14 /20 (2_ / <br /> App cant Permitee Stgffature Date <br /> Xssunature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />